Cystic Metastasis of Papillary Thyroid Microcarcinoma in Acromegalic

Microcarcinoma is defined as a tumor less than or equal to 1 cm and represents an indolent pathology with very low mortality, when it comes to classic papillary carcinoma.The appearance of metastases in neck ganglion chains is relatively frequent, they are generally micro metastasis, but sometimes they can be larger.In the general population, the secondary lymph node in these cases does not change mortality, but if it is associated with certain diseases such as acromegaly, the prognosis may be somewhat bleaker.We present the case of a patient whose diagnosis of papillary carcinoma comes through a cystic lymph node metastasis almost six times larger than the size of the neoplasm that originated it.